Healthcare Provider Details

I. General information

NPI: 1578409926
Provider Name (Legal Business Name): COLORADO HEALING COLLECTIVE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6260 LOOKOUT RD STE 210P
BOULDER CO
80301-3900
US

IV. Provider business mailing address

229 TERRY ST
LONGMONT CO
80501-5930
US

V. Phone/Fax

Practice location:
  • Phone: 303-578-0527
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: JUDY INNES
Title or Position: OWNER/LPC
Credential:
Phone: 303-578-0527